Association Between Chronic Pain, Coping Strategies, and Sleep Quality in Rural Chinese Older Adults: A Cross-Sectional Study

作者：Xin Tao, Cheng Cheng, Jie Bai · 发表于：Clinical Interventions in Aging · 年份：2025 · DOI：10.2147/cia.s533869 · 被引用次数：2 · 研究领域：Sleep and related disorders、Musculoskeletal pain and rehabilitation、Health and Well-being Studies

Purpose: This study aimed to investigate the current status of sleep quality and explore the associations between chronic pain, sleep quality, and coping strategies in older adults living in rural areas of China, a topic of growing interest and importance in gerontology and public health. Patients and Methods: This was an observational, cross-sectional study with a convenience sample of Chinese older adults from a rural community in Northern Anhui, China, conducted from September to December 2023. A self-reported questionnaire was used to collect data on socio-demographic items, chronic pain (visual analogue scale, VAS), coping strategies (Coping Strategies Questionnaire-Revised, CSQ-R), and sleep quality (Athens Insomnia Scale, AIS). Descriptive statistics, Pearson correlation, Stepwise multiple linear regression, and mediation analysis were used to analyze the data. Results: A total of 158 participants (48.7% female) were included in the study. Most participants (73.4%, n = 116) reported poor sleep quality. The regression model revealed significant associations between sleep quality and chronic pain (Beta = 0.599, t = 9.99, p < 0.001) and praying as a way of coping (Beta = 0.165, t = 2.72, p = 0.007). The model explained 46.5% of the variance in sleep quality (p < 0.01). Mediation analysis indicated that chronic pain had an indirect effect on sleep quality via praying, even after controlling for covariates (B = 0.137, 95% CI = 0.0614, 0.2227). Conclusion: This study display...